Individual
TRACI MARCRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-8802
(615) 936-2000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 936-2000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
132443
TN
163W00000X
Registered Nurse
615299
CA
363LA2100X
Acute Care Nurse Practitioner
2011013190
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
20635
TN
Other
Enumeration date
10/05/2012
Last updated
03/22/2022
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